Pain Management and Satisfaction with Pain Management in Patients Undergoing Total Abdominal Hysterectomy
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2010-10-06
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Department of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University
Abstract
Abstract: Keywords: Pain, Pain Management, Satisfaction with pain management, Totalabdominal hysterectomyThis descriptive research aimed to explore 1) pain after total abdominalhysterectomy in the first 3 days, 2) pain management methods, 3) the relationship ofpain and activities of daily living, and 4) satisfaction of patients with pain management.Symptom management was used as conceptual framework. The sample consisted ofpatients admitted in the gynecological ward and private obstetrics ward at RamathibodiHospital from October to November 2006. There were 110 participants chosen bypurposive sampling. Data were collected using the Demographic Questionnaire, thePain Questionnaire, which was modified by the researchers from the Patient Questionnaireof the American Pain Society Quality of Care Committee, and the Pain ManagementQuestionnaire developed by the researchers on the basis of literature review. Theresults revealed that: 1) on postoperative Day 1, the participants had an average ofthe highest pain in high level, while there was a low level on postoperative Day 2 andDay 3; 2) most pain management methods used in the participants included turningtheir position for comfort, while pain management methods that doctors and nursesused most included paying attention to and asked about patients’ pain. For pharmacologicalpain management, it was found that on postoperative Day 1, in the participantsreceived pethidine and Dynastat® injection, they perceived that those medicationscould relieve their pain with the high level; 3) pain disturbed their activities of dailyliving after surgery in relation to coughing and deep breathing, movement, sleep,emotion, other activities, relationship with other persons at a low level; and 4)patients had satisfaction with the pain management that they received from doctors,nurses and over all at a high level. This study provides basic information for healthcareproviders to find ways to relieve pain in patients undergoing total abdominal hysterectomy.
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Ramathibodi Nursing Journal; Vol. 15 No.3 September - December 2009